Is Chemotherapy Necessary After Colon Cancer Surgery?

by | Last updated on January 24, 2024

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Chemo might be given again after surgery

. For tumors in the liver, another option may be to destroy them with ablation or embolization. If the cancer has spread too much to try to cure it with surgery, chemo is the main treatment. Surgery might still be needed if the cancer is blocking the colon or is likely to do so.

How long after colon cancer surgery does chemotherapy start?

It is usually accepted that adjuvant chemotherapy should begin

within 8 weeks after surgery

, and most clinical trials mandate that it should be started within 6 to 8 weeks after surgery.

Can colon cancer be treated without chemo?

Colon cancer treatment will depend on how early the cancer is caught. Sometimes, your doctor can remove polyps during a colonoscopy and no further treatment is necessary. Other times, you may need surgery and/or chemotherapy.

Can colon cancer be cured with surgery alone?

Stage I colon cancer is confined to the lining of the colon, does not penetrate the wall of the colon into the abdominal cavity, and has not spread to any adjacent organs or local lymph nodes.

Approximately 90% of patients are cured with surgery alone

and will not experience a cancer recurrence.

Why do I need chemo after bowel cancer surgery?

Chemotherapy may be used after surgery for either colon or rectal cancer

to kill any remaining cancer cells and reduce the chance of the cancer coming back

.

Can you live a long life after colon cancer?

The five-year survival for these patients with localized colon and rectum cancer is

around 90%

. When the cancer has spread to the regional lymph nodes near the site of origin, the five-year survival rate is about 71%.

What was your first colon cancer symptom?


Diarrhea

, constipation, or feeling that the bowel does not empty completely. General abdominal discomfort, such as frequent gas pains, bloating, fullness and/or cramps. Constant feeling of fatigue or tiredness. New onset anemia diagnosed on routine lab work.

How long does it take to recover from colon cancer surgery?

Traditional “open” colon surgery procedures may require a single long abdominal incision. Traditional surgery results in an average hospital stay of a week or more and

usually 6 weeks of recovery

.

Do you need chemo for Stage 2 colon cancer?

Though all guidelines recommend considering

adjuvant chemotherapy

for the patients with stage II colon cancer with high-risk features, in practice many patients with stage II colon cancers without high-risk features receive adjuvant chemotherapy.

How long do stage 3 colon cancer patients live?

Stage 3. Almost 70 out of 100 people (almost 70%) with stage 3 bowel cancer (also called Dukes’ C) will survive their cancer for

5 years or more after

they’re diagnosed.

What is Stage 2 cancer in colon?

Stage II colorectal cancer. In stage IIA,

cancer has spread through the muscle layer of the colon/rectum wall to the serosa

. In stage IIB, cancer has spread through the serosa of the colon/rectum wall to the visceral peritoneum (tissue that lines the organs in the abdomen).

Will I lose my hair with chemo for colon cancer?

Hair loss or

thinning is listed as a side effect for colon cancer chemotherapy

, but it’s most likely to only occur for those on radiation or irinotecan. You may end up looking like Yul Brynner, but it’s not as likely as other problems you may encounter.

Is colon cancer curable at Stage 3?

A stage III colon cancer has

about a 40 percent chance of cure

and a patient with a stage IV tumor has only a 10 percent chance of a cure. Chemotherapy is used after surgery in many colon cancers which are stage II, III, and IV as it has been shown that it increases the survival rates.

Does anyone survive colon cancer?

For colon cancer, the overall

5-year survival rate for people is 63%

. If the cancer is diagnosed at a localized stage, the survival rate is 91%. If the cancer has spread to surrounding tissues or organs and/or the regional lymph nodes, the 5-year survival rate is 72%.

Can you live 10 years with stage 4 colon cancer?

A growing number of people with stage IV colon cancer

live longer than 2 years

. And for a small group of people with cancer that has only spread to your liver or lung, surgery might even cure it.

Does colon cancer always come back?

For most people,

colorectal cancer doesn’t come back, or “recur

.” But in about 35% to 40% of people who get surgery with or without chemotherapy, the cancer may come back within 3 to 5 years of treatment. If this happens, it could be in the colon or rectum, or in another part of the body, such as the liver and lungs.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.